About the Changes

Q: Why is Medicaid changing?

A new federal law was passed in July 2025. It made changes to Medicaid all across the country. Nebraska chose to start the new work requirements earlier than other states — on May 1, 2026.

Q: Is Nebraska the only state doing this?

Nebraska will be the first state to start the work requirements. Other states will follow, but Nebraska chose to go first.

About Work Requirements

Q: Do I have to do anything right now?

Not necessarily. The most important thing right now is making sure Medicaid has your correct address, phone, and email. If Medicaid contacts you, you must respond within 30 days.

Q: How do I know if the work requirement applies to me?

The work rules apply to adults ages 19 to 64 who are healthy enough to work and do not have an exemption. If you are pregnant, have a disability, or take care of a young child, you are likely exempt. See the “Who Is Affected” page for the full list.

Q: Do I need to work exactly 80 hours to meet Nebraska Medicaid work requirements?

80 hours is calculated based on a federal minimum wage, which computes to about $580 per month. So if you work as many hours that translates to $580/month, even if it’s technically less than 80 hours since Nebraska’s minimum wage is higher than the federal minimum wage, you’ve satisfied the work requirement.

Q: What counts as “work”?

Working a job, going to school, doing job training or an apprenticeship, volunteering, or looking for a job can all count. You need at least 80 hours per month — about 20 hours per week.

Q: What if my hours vary month to month?

Keep records of all your hours. If your hours go below 80 in a month, contact Medicaid right away. There may be a grace period, but do not wait.

Q: What happens if I do not meet the work requirement?

You could lose your Medicaid coverage. If that happens, you may be able to reapply after meeting the requirements again.

About Staying Covered

Q: I got a letter from Medicaid. What do I do?

Read it carefully. If it asks for information or documents, respond within 30 days. Call the number on the letter if you are not sure what to do. Do not ignore it.

Q: What if I lose my coverage by mistake?

You have the right to appeal. Contact Medicaid or a legal aid organization for help. See the Resources page for contacts.

Q: Will I have to pay for Medicaid?

Most people will not have to pay. Starting in 2028, some members may have a small cost for certain visits — up to $35. More details will come closer to that date.

Medicaid Changes Q&A